neobladder

neobladder

 [ne″o-blad´er]
a continent urinary reservoir made from a detubularized segment of bowel or stomach, with implantation of ureters and urethra; used to replace the bladder after cystectomy.

ne·o·blad·der

(nē'ō-blad'ĕr),
Surgically constricted (usually using stomach or intestine) replacement for urinary bladder.

neobladder

/neo·blad·der/ (-blad´er) a continent urinary reservoir constructed from a detubularized bowel segment or from a segment of the stomach, with implantation of the ureters and urethra; used to replace the bladder following cystectomy.

neobladder

[ne′oblad′er]
a continent urinary reservoir made from a detubularized segment of bowel or stomach, with implantation of ureters and urethra. It is used to replace the bladder after cystectomy.

neobladder

A urinary diversion (UD) procedure in which a diseased bladder is replaced with one created from intestine that empties via the urethra.

Pros
Similar to natural voiding (i.e., best quality of life compared to other forms of UD); considered the procedure of choice for selected patients with bladder cancer; post surgery, voiding/urinating is relearned.
 
Cons
High rate of complications; complete emptying of the neobladder may require catheterization at the end of each void; careful patient selection is mandatory.

ne·o·blad·der

(nē'ō-blad'ĕr)
Surgically constructed replacement for urinary bladder, usually using stomach or intestine.
References in periodicals archive ?
Urinary diversion techniques including neobladder creation for more complex cases.
We classified the procedures as neobladder (code 57.
Grup 1'deki olgularm %53,1'ine Bricker tip tiriner diversiyon, %30,8'ine neobladder yapilirken %13,9'una tireterokutaneos-tomi yapilmor.
Diversions may be formed utilizing an isolated loop of ileum to form a conduit (Bricker, incontinent diversion); a segment of colon to form a catheterizable reservoir (continent diversion); or an orthotopic neobladder (Studer pouch, continent) to which the urethra is anastomosed (Figure 13).
CLEVELAND -- Surgeons at the Cleveland Clinic have developed an outpatient procedure for creating a continent catheterizable channel to the bladder or neobladder in patients with lower urinary tract dysfunction, Dr.
Presentations included the development of laparoscopic bowel surgery, management of acute bowel obstruction in the terminally ill, the formation of neobladder, a patient's personal journey and the rote and development of nurse practitioners.
When invasive tumor was detected, he had cystectomy and neobladder construction.
The patient subsequently underwent radical cystoprostatectomy and pelvic lymphadenectomy with ileal neobladder creation.
Surgeons at Johns Hopkins Hospital in Baltimore report success in creating an internal, so-called neobladder from bowel segments that is then connected to urine-carrying tubes, allowing patients to urinate normally.
The treatment of invasive bladder cancer generally involves radical cystectomy, followed by ileal conduit or orthotopic ileal neobladder reconstruction.
v] Fifty-four percent of patients who go undiagnosed with CIS will progress to muscle invasive disease and require bladder removal (cystectomy) and a urinary diversion or neobladder.
The utilization of the ureter in augmentation cystoplasty results in a uroepithelium-lined neobladder with all of the appropriate histologic layers.